Resource Advisor

Saint Peter’s Health Care System; Northern (KY); Hybrid; USD 28,000 - 44,000; Full time

Job summary

Saint Peter's Health Care System seeks a Resource Advisor in Resource Services to interview patients, determine eligibility, and conduct financial screenings for uninsured and underinsured individuals per regulatory criteria.

You will navigate hospital systems for determinations, educate patients on requirements, complete Charity Care/Medicaid applications, and maintain accurate records.

English/Spanish bilingual abilities are preferred; flexibility to cover multiple sites is appreciated.

Qualifications

• At least one year experience in Hospital Revenue Cycle environment preferred.
• In-depth knowledge of charity care/Medicaid eligibility rules and related regulations.
• Ability to conduct complex financial and needs-based assessments.
• Strong interpersonal, communication and cultural-competency skills.
• Analytical and detail-oriented with strict regulatory compliance.
• Strong written/electronic documentation skills; ability to navigate hospital systems.
• Bilingual English/Spanish strongly preferred.
• Flexibility to cover multiple hospital sites and adapt to regulatory changes.

Responsibilities

• Interview patients to determine eligibility and perform comprehensive financial screenings.
• Navigate multiple systems for eligibility determination, submission and follow-up.
• Educate patients on program requirements, complete Charity Care/Medicaid applications and collect supporting documentation.
• Maintain complete, accurate records of screenings, determinations and applications.
• Ensure timely submission of financial adjustments and supporting documentation.

Skills

Customer service

Bilingual EN/ES

Documentation

Job description

Resource Advisor

Resource Services

The Resource Advisor will:

• Interview patients in person or by telephone and determines eligibility. Conduct comprehensive financial screenings for uninsured and underinsured patients to determine eligibility for New Jersey Charity Care, New Jersey Medicaid, and other governmental assistance programs in accordance with Uncompensated Care Trust Fund Regulations. Meet with patients and families to obtain, verify, and analyze detailed financial, demographic, and residency information based on exact regulatory criteria.
• Navigate multiple internal and external systems required for eligibility determination, application submission, and follow-up.
• Educate patients regarding program requirements, documentation responsibilities, timelines, and potential outcomes. Perform all interactions with professionalism, empathy, cultural sensitivity, and confidentiality while completing financial registration processes. Complete related forms and applications for assistance. Complete and submit Charity Care, Medicaid, and other assistance applications accurately and within required timeframes. Assist patients in completing applications and obtaining necessary supporting documentation. Complete written financial evaluations within established turnaround standards.
• Maintain a complete, accurate and systematic set of records. Maintain thorough, accurate, and compliant documentation for all financial screenings, determinations, and applications.
• Ensure timely submission of financial adjustments and supporting documentation to support accurate patient accounts and reimbursement.

Requirements

• At least one (1) year experience working in a Hospital Revenue Cycle environment preferred.
• In-depth working knowledge of New Jersey Charity Care, New Jersey Medicaid eligibility requirements, Uncompensated Care Trust Fund Regulations, HIPAA, EMTALA, and related state and federal assistance programs.
• Demonstrated ability to conduct complex financial and needs-based assessments involving income, assets, household composition, immigration-related eligibility rules, and supporting documentation.
• Exceptional interpersonal, communication, and cultural-competency skills required to effectively counsel patients and families during periods of stress, illness, or financial hardship.
• High level of analytical ability and attention to detail necessary to ensure accurate determinations while maintaining strict compliance with hospital, state, and federal regulations.
• Strong written and electronic documentation skills, including proficiency in navigating hospital registration, billing, and eligibility systems.
• Bilingual proficiency (English/Spanish) strongly preferred to ensure equitable access to services for diverse patient populations.
• Flexibility to cover multiple hospital sites and adapt to changing regulatory requirements and patient volumes.

Salary Range:20.13 - 32.19 USD

We offer competitive base rates that are determined by many factors, including job-related work experience, internal equity, and industry-specific market data. In addition to base salary, some positions may be eligible for clinical certification pay and shift differentials.

The salary range listed for exempt positions reflects full-time compensation and will be prorated based on employment status.

Saint Peter's offers a robust benefits program to eligible employees that will support you and your family in working toward achieving and maintaining secure, healthy lives now and into the future. Benefits include medical, dental, and vision insurance; savings accounts, voluntary benefits, wellness programs and discounts, paid life insurance, generous 401(k) match, adoption assistance, back-up daycare, free onsite parking, and recognition rewards.

You can take your career to the next level by participating in either a fully paid tuition program or our generous tuition assistance program. Learn more about our benefits by visiting our site at Saint Peter's.